NPI 1427626415

Kelly Magrum, CNA

Practitioner Specialist Williston, ND

Practice location

Address: 309 Washington Ave, Williston, ND 58801-5258
Phone: (701) 580-4801
Mailing address: 4909 Shelburne St, Bismarck, ND 58503-5605

Registered specialties (3)

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Driver

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1427626415
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2021
Record last updated: 9 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.